| NPI | 1962801860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER DENNIS Chief Medical Officer 657-237-2450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NY 275960) |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2024-09-06 |